# REZA GHORBANI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396049722
- **Authorized official:** REZA GHORBANI M.D. (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (781) 727-1352

## Contact information

- **Practice address:** 5530 WISCONSIN AVE, 1550, BETHESDA, MD 20815-4404
- **Practice address phone:** (301) 220-1333
- **Practice address fax:** (301) 215-4157
- **Mailing address:** PO BOX 71155, BETHESDA, MD 20813-1155
- **Mailing address phone:** (301) 220-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | D0065935 | MD | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0065935 | MD | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 12/28/2010